I just listened to it. In a nutshell, he told her that statistically she would outlive her obese husband and would find herself in a huge pool of obese women all competing for men who prefer non-obese. She was 5'7" (5'6"?) and weighed 250, and had several weight-related illnesses. From the content, it sounds like he runs a weight-loss clinic. He did apologize once he found out she was miffed, to no avail. Maybe she caught the whiff of deep insurance pockets??? Maybe he thought she was going to walk out the door with her membership money in her pocket?